Author(s):
Valli, Claudia ; Schäfer, Willemijn L.A. ; Bañeres, Joaquim ; Groene, Oliver ; Arnal-Velasco, Daniel ; Leite, Andreia ; Suñol, Rosa ; Ballester, Marta ; Gibert Guilera, Marc ; Wagner, Cordula ; Calsbeek, Hiske ; Emond, Yvette ; Heideveld-Chevalking, Anita J. ; Kristensen, Kaja ; Huibertina Davida van Tuyl, Lilian ; Põlluste, Kaja ; Weynants, Cathy ; Garel, Pascal ; Sousa, Paulo ; Talving, Peep ; Marx, David ; Žaludek, Adam ; Romero, Eva ; Rodríguez, Anna ; Orrego, Carola
Date: 2024
Persistent ID: http://hdl.handle.net/10400.18/10379
Origin: Repositório Científico do Instituto Nacional de Saúde
Subject(s): Patient Safety; Perioperative Care; Epidemiology; Prevention and Control; Quality Improvement; Standards; Protocol; Humans; Europe; SAFEST; Cuidados de Saúde; Melhoria da qualidade; Segurança cuidados saúde
Description
Introduction: Adverse events in health care affect 8% to 12% of patients admitted to hospitals in the European Union (EU), with surgical adverse events being the most common types reported. Aim: SAFEST project aims to enhance perioperative care quality and patient safety by establishing and implementing widely supported evidence-based perioperative patient safety practices to reduce surgical adverse events. Methods: We will conduct a mixed-methods hybrid type III implementation study supporting the development and adoption of evidence-based practices through a Quality Improvement Learning Collaborative (QILC) in co-creation with stakeholders. The project will be conducted in 10 hospitals and related healthcare facilities of 5 European countries. We will assess the level of adherence to the standardised practices, as well as surgical complications incidence, patient-reported outcomes, contextual factors influencing the implementation of the patient safety practices, and sustainability. The project will consist of six components: 1) Development of patient safety standardised practices in perioperative care; 2) Guided self-evaluation of the standardised practices; 3) Identification of priorities and actions plans; 4) Implementation of a QILC strategy; 5) Evaluation of the strategy effectiveness; 6) Patient empowerment for patient safety. Sustainability of the project will be ensured by systematic assessment of sustainability factors and business plans. Towards the end of the project, a call for participation will be launched to allow other hospitals to conduct the self-evaluation of the standardized practices. Discussion: The SAFEST project will promote patient safety standardized practices in the continuum of care for adult patients undergoing surgery. This project will result in a broad implementation of evidence-based practices for perioperative care, spanning from the care provided before hospital admission to post-operative recovery at home or outpatient facilities. Different implementation challenges will be faced in the application of the evidence-based practices, which will be mitigated by developing context-specific implementation strategies. Results will be disseminated in peer-reviewed publications and will be available in an online platform.